The prevalence and determinants of coronary heart disease (CHD) have been inadequately studied in rural areas of developing countries.
Entire communities were surveyed in randomly selected villages in Rajasthan, India.
A physician-administered questionnaire, physical examination, and electrocardiogram (ECG) were performed on 3148 adults = 20 years of age (1982 males, 1166 females).
Fasting blood samples for determination of lipids were obtained from 202 males and 98 females.
Prevalence of coronary risk factors-smoking, hypertension, sedentary life-style, ohesity, and hypercholesterolemia-was determined.
CHD was diagnosed on basis of past documentation, response to WHO-Rose questionnaire, or changes in ECG.
(a) documentation, history, and ECG criteria, (h) ECG-Q, ST, or T changes, and (c) presence of Q waves.
Coronary risk factors : smoking was present in 51% males and 5% females, hypertension (=140/90 mmHg) in 24% males and 17%, females, hypercholesterolemia (=200 mg/dl) in 22%, diabetes history in 0.2%, and irregular physical activity or sedentary habits in 85%. Other risk factors were lack of formal education in 44%, obesity (body-mass index =27 kg/m2) in 6% and truncal obesity (waist-hip ratio = 0.95) in 5%. The prevalence of CHD (clinical+ECG criteria) was 1.4% in males and 3.7% in females.
According to ECG criteria only, it was 2.8% in males and 3.3% in females and according to Q-waves only, it was 1. (...)
Mots-clés Pascal : Cardiopathie coronaire, Epidémiologie, Prévalence, Milieu rural, Homme, Inde, Asie, Facteur risque, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Epidemiology, Prevalence, Rural environment, Human, India, Asia, Risk factor, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0238680
Code Inist : 002B12A03. Création : 11/06/1997.